| NPI | 1518026434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA BUTZ Chief Operating Officer 815-787-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 103TC1900X Psychologist Counseling |
| 101YM0800X Counselor Mental Health | |
| 101Y00000X Counselor | |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker Clinical | |
| 225C00000X Rehabilitation Counselor | |
| 101YP2500X Counselor Professional | |
| 103TC0700X Psychologist Clinical | |
| 103TF0200X Psychologist Forensic | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2025-11-03 |